Risk Factors of Pregnancy Induced Hypertension in Falluja City

Abstract

Background: Hypertensive disorders of pregnancy are the most common problems during pregnancy in Iraq as a developing country. Several risk factors have been described as predisponent to hypertensive disorders in pregnancy worldwide.There haven’t been any studies investigating the risk factors of pregnancy induced hypertension in Falluja , Anbar governorate.Objectives: The aim of this study is to find out associations between certain implicated risk factors and their extent on pregnancy induced hypertension.Patients and Methods: A hospital and main primary health care centers based group matched case-control study was undertaken, the data collected during the period from September 2013 to January2014. A structured questionnaire was developed and designed for the purpose of the study. Both cases and controls were interviewed after taking verbal consent.The study consisted of 100 patients with pregnancy induced hypertension cases confirmed on the diagnosis by specialists Obstetricians &Gynecologists &Family physicians and 200 group -matched healthy pregnant controls. Bivariate analyses included odds ratio (OR), and 95% confidence interval (CI) for odds ratio were performed to explore such associations. Results: The study shows that the significant risk factors of pregnancy induced hypertension are the two extremes of maternal age , passive and active smoking , primigravida and multipara (≥5) , assisted vaginal delivery and elective cesarean section, spacing between pregnancies ≥ 4 years , obesity and contraception methods especially oral and injectable. Family and previous history of pregnancy induced hypertension were positively associated with risk of pregnancy induced hypertension.Conclusion: The study showed significant associations between two extremes of maternal age, smoking, multiparous (≥5), assisted vaginal delivery and elective cesarean section, spacing (≥4 years), obesity and using oral or injectable contraceptives